Figure 5: Patient with microtia grade III and canal atresia. a) An anterior based split thickness skin flap was raised. The hook holds the subcutaneous tissue still to be excised. A thin periosteal layer remains. On both Brånemark implants for auricular prosthesis the insertion posts have not yet been unscrewed. Further occipitally, a Brånemark implant for a bone-anchored hearing aid has been inserted. b) The subcutaneous tissue is resected. c) The split skin flap is folded back and sewn in. Abutments are screwed on. Any remnant of the auricle is removed. d) The split skin is packed under the healing cap.